EOSINOPHILIC ASCITES WITH MARKED PERIPHERAL EOSINOPHILIA IN A MIDDLE AGED FEMALE

Main Article Content

Nabeela Iqbal Khan
Syed Khalid Shah
Shamima Hanif

Abstract

Eosinophilic disease of gastrointestinal tract is an uncommon condition characterized by non-specific gastrointestinal symptoms in association with peripheral eosinophilia. Depending upon the predominantly involved layer, three types (mucosal, muscular and sub serosal) are described. The later being the most uncommon variant characterized by eosinophilic ascites and peripheral eosinophilia. Endoscopic biopsy is usually non-diagnostic due to uninvolved GI mucosa, thus peripheral hyper-eosinophilia and ascitic fluid rich in eosinophils are the mainstay for the diagnosis. We report a 40 years old female who presented with abdominal distention for 3 weeks. Ascitic fluid analysis showed an exudative picture with raised protein and moderate cellularity with 65% eosinophills. Endoscopic biopsy showed nonspecific chronic inflammatory changes with no evidence of eosinophilic infiltration.

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How to Cite
1.
Khan NI, Khalid Shah S, Hanif S. EOSINOPHILIC ASCITES WITH MARKED PERIPHERAL EOSINOPHILIA IN A MIDDLE AGED FEMALE. J Postgrad Med Inst [Internet]. 2019 Nov. 6 [cited 2024 Mar. 29];33(3). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/2598
Section
Case Report
Author Biography

Nabeela Iqbal Khan

Consultant physician General Medicine